| NPI | 1639600240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCCLAIN Office Manager 248-972-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801063313) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |